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WILLOWGLEN ACADEMY - INDIANA
NPI 1073788113
Residential Treatment Facility, Emotionally Disturbed Children in Gary, IN

Active since April 29, 2008
308 E 21ST AVE, GARY, IN 46407(219) 886-1320 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Willowglen Academy - Indiana NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLOWGLEN ACADEMY - INDIANA (NPI 1073788113) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Gary, Indiana and active in the NPI registry since April 2008. The organization lists Dwayne W Mueller, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1073788113
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameWILLOWGLEN ACADEMY - INDIANA
Location Address308 E 21ST AVEGary, IN 46407-2618
Mailing Address308 E 21st AveGary, IN 46407-2618 · (219) 886-1320
Phone(219) 886-1320
Organization SubpartYesParent: Phonenix Care System
Authorized OfficialDwayne W MuellerExecutive Director · (219) 886-1320
Enumeration DateApril 29, 2008
Last NPPES UpdateJune 17, 2008
✔ NPI 1073788113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in IN · 33456
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
308 E 21ST AVE, Gary, IN 46407
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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TASHENA MELTON MSW
Social Worker
308 E 21ST AVE
GARY, IN 46407
Lake County (219) 886-1320
MRS. MARILYN M. CARUTHERS
Social Worker
308 E 21ST AVE
GARY, IN 46407
Lake County (219) 886-1320
WILLOWGLEN ACADEMY - INDIANA
Residential Treatment Facility, Emotionally Disturbed Children
308 E 21ST AVE
GARY, IN 46407
Lake County (219) 886-1320
BUNNIE J FLEMING LPN
Licensed Practical Nurse
308 E 21ST AVE
GARY, IN 46407
Lake County (219) 886-1320
WILLOWGLEN ACADEMY-IN, INC.
Psychiatry & Neurology (Psychiatry)
308 E 21ST AVE
GARY, IN 46407
Lake County (219) 886-1320
HELPS CLINIC AND RESOURCE CENTER, INC
Clinic/Center (Primary Care)
308 E 21ST AVE
GARY, IN 46407
Lake County (219) 588-3176
WILLOWGLEN ACADEMY - INDIANA
Clinic/Center (Adolescent and Children Mental Health)
308 E 21ST AVE
GARY, IN 46407
Lake County (219) 886-1320
MR. DWAYNE WARREN MUELLER RN
Registered Nurse (Administrator)
308 E 21ST AVE
GARY, IN 46407
Lake County (219) 886-1320

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willowglen Academy - Indiana's NPI number?

The NPI number for Willowglen Academy - Indiana is 1073788113. It was assigned to this organization in the NPPES registry on April 29, 2008.

Where is Willowglen Academy - Indiana located?

Willowglen Academy - Indiana is located at 308 E 21st Ave, Gary, IN 46407. The listed phone number is (219) 886-1320.

What is Willowglen Academy - Indiana's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Willowglen Academy - Indiana was last updated on June 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.